Patient's question:
Hello! I am really struggling! Vulvovaginal candidiasis, I have been taking medication since my period, almost a month now, but it hasn't improved at all! My period is coming again soon, and after about a month of using nystatin and a wash, the symptoms are still not better! The discharge is yellow, and there are often clumps. How should I treat it?Doctor's answer:
Hello, the commonly used treatment for candidal vaginitis involves using a solution for douching. A 2% sodium bicarbonate solution is used to rinse the external genitalia and vagina, and local antifungal medications are applied. Common antifungal medications include fluconazole and itraconazole for oral use, taken every 2-4 weeks for a total of 3-6 months. Symptoms can be completely controlled, and monthly premenstrual reexaminations are recommended. Three consecutive negative results indicate self-recovery. It is advised to use specific medications under the guidance of a doctor. During treatment, sexual intercourse is strictly prohibited, and both partners should be treated together.